Note: Randy's Hardware, Inc. is an equal opportunity employer in compliance with all federal, state, and local laws. As such, Randy's Hardware, Inc. will not discriminate based on the answers you provide to these questions.

EDUCATION

High School *

From - To *

In what years were you enrolled?

Location *

Did you graduate? *

YesNo

College/Trade School *

From - To *

In what years were you enrolled?

Location *

Did you graduate? *

YesNo

Other *

From - To *

In what years were you enrolled?

Location *

Did you graduate? *

YesNo

REFERENCES

Please list three professional references.

Full Name *

Relationship *

Company *

Phone/ Email *

Full Name *

Relationship *

Company *

Phone/ Email *

Full Name *

Relationship *

Company *

Phone/ Email *

PREVIOUS EMPLOYMENT

Company *

Phone *

Address *

Immediate Supervisor *

Position *

Starting Salary *

Ending Salary *

Responsibilities *

May we contact your previous supervisor? *

YesNo

From *

To *

Reason For Leaving *

Company *

Phone *

Address *

Immediate Supervisor *

Position *

Starting Salary *

Ending Salary *

Responsibilities *

May we contact your previous supervisor? *

YesNo

From *

To *

Reason For Leaving *

Company *

Phone *

Address *

Immediate Supervisor *

Position *

Starting Salary *

Ending Salary *

Responsibilities *

May we contact your previous supervisor? *

YesNo

From *

To *

Reason For Leaving *

MILITARY EXPERIENCE

Have you served in the US Military? *

YesNo

If yes, what branch? *

When? *

Rank When Discharged *

Type of Discharge *

If not honorable, please explain *

OTHER

Other Applicable Skills, Experience, or Service *

Anything else you would like for us to know? *

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By clicking "SUBMIT" below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.